Making WIC Work for Multicultural Communities - Food Research ...

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Some of the challenges in nutrition education include lack of participant involvement, lack of participant access to transportation (which often results in missed appointments), and nutritionists not having enough time to conduct sessions. Lessons Learned Some of the solutions adopted to address the lack of participant involvement in nutrition education include requiring participants to establish one nutrition goal with a paraprofessional before seeing the nutritionist; asking participants questions during classes; empowering participants to express their needs; and encouraging WIC staff to listen to them. Resources Navajo Nation WIC uses Nutrition Services funds from the United States Department of Agriculture, Food and Nutrition Service to support these initiatives. Languages Used Navajo and English Populations Served Navajo, Latino, and White Contact Information Adele King WIC Program Manager Navajo Division of Health Navajo Nation WIC Program P.O. Box 1390 Window Rock, AZ 86515 (T) 928-871-6698 aking@navajowic.org “For my son, I just want to find out all the information that I need for him to grow up healthy without ever getting into junk food and stuff.” -WIC Participant Making WIC Work for Multicultural Communities: Best Practices in Outreach and Nutrition Education 29
Motivational Interviewing Counseling Techniques Project Description The District of Columbia WIC (DC WIC) State Agency is implementing a comprehensive multicultural nutrition education strategy with the goal of changing the health and nutrition behaviors of African American and Latino children between the ages of two and five. The strategy has two phases: a pilot phase during which motivational interviewing nutrition education techniques will be pilot-tested in selected WIC clinics and an implementation phase during which the pilot’s successful components will be implemented in all DC WIC clinics. Project Name Impact of Motivational Interviewing Counseling Techniques on Health and Nutrition Behaviors in Urban Multi-Ethnic WIC Participants Agency Name DC Department of Health, WIC State Agency Motivational Interviewing Motivational interviewing is a participant-centered counseling tool that aims to elicit behavior change. By using motivational interviewing in nutrition education, DC WIC seeks to change the nutritional habits of African American and Latino children between the ages of two and five. The project targets children’s moms, guardians, and other primary caretakers and provides them with nutrition education on five child nutrition topics: (1) increasing consumption of fruits and vegetables; (2) decreasing consumption of fast foods; (3) decreasing consumption of sugary beverages; (4) increasing physical activity; and (5) decreasing TV watching. Phase One: Pilot-Testing DC WIC launched a three-year motivational interviewing pilot involving seven clinics. Two clinics replaced their traditional nutrition education with motivational interviewing (Mary’s Center for Maternal and Child Care and DC General Hospital). Two others (Upper Cardozo Clinic and Children’s Health Center at Good Hope Road) adopted “motivational interviewing plus.” The “motivational interviewing plus” format consists of motivational interviewing nutrition education combined with a traditional nutrition education activity, such as a group session or mailing. The pilot also included three control sites using current nutrition education methods (Marie Reed Clinic, Adams Morgan Clinic, “The states that have already done motivational interviewing pilots have been very open about sharing their resources.” -Evalyn Carbrey and Howard University Hospital). “DC WIC held focus groups with WIC nutritionists before launching the study. They spoke about how they wanted more client input and participation, and how helping clients find the desire to change from within would lead to healthier behaviors.” -Evalyn Carbrey Training for the nutritionists in the four clinics implementing motivational interviewing nutrition education techniques began with a two-day workshop led by motivational interviewing expert Ken Resnicow, Professor of Health Behavior and Health Education at the University of Michigan, School of Public Health. Making WIC Work for Multicultural Communities: Best Practices in Outreach and Nutrition Education 30
Page 1 and 2: Making WIC Work for Multicultural C
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Page 6 and 7: Introduction This guide highlights
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Page 10 and 11: screens potential participants for
Page 12 and 13: Families Growing Healthy with WIC (
Page 14 and 15: The California State Agency careful
Page 16 and 17: Navajo Nation Outreach All WIC clin
Page 18 and 19: Reaching Out to Immigrant Families
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Page 24 and 25: Washington WIC The Washington State
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Page 30 and 31: California Fit WIC This case study
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Page 38 and 39: Texas WIC In an effort to make nutr
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